CHANELLE JACKSON, APRN
Nurse Practitioner - Family
Active
Individual
NPI: 1629510862
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 20603 (SC) |
Frequently Asked Questions
NPI 1629510862 is the National Provider Identifier for CHANELLE JACKSON, APRN, a Nurse Practitioner - Family provider located in Columbia, SC. This NPI was enumerated on November 4, 2016.
CHANELLE JACKSON, APRN practices at 229 LONGTOWN RD, Columbia, SC 29229.
Quick Facts
- NPI
- 1629510862
- Type
- Individual
- Enumerated
- Nov 4, 2016
- Last Updated
- Jan 12, 2024
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